The nurse is caring for an adult client receiving continuous enteral feedings who is prescribed phenytoin per nasogastric tube. The nurse should:
a. collaborate with the health care provider to change the route of administration of phenytoin to IV.
b. discontinue the enteral feeding 90 minutes before and after administering the phenytoin.
c. stop the enteral feeding, flush the nasogastric tube with normal saline, administer phenytoin, then flush tube with normal saline, restart feeding.
d. dilute the phenytoin and administer it concurrently with the enteral feeding at a decreased rate of infusion.
ANS: B
Feedback
A Incorrect: This is not an appropriate nursing response in this situation.
B Correct: The enteral feeding should be stopped one to two hours before and after phenytoin enteral administration, because enteral feedings decrease the absorption of phenytoin.
C Incorrect: This is not an appropriate nursing action. In addition, nasogastric tubes for enteral feedings are flushed with tap water, not normal saline.
D Incorrect: This is not an appropriate nursing action.
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